Mobilisation and safety Flashcards
(20 cards)
What are the learning outcomes for the topic on mobilisation and safety?
Identify strategies for safe patient mobilisation assistance, key complications of immobility, nursing interventions for preventing complications, assess fall risk, and complete a Braden scale assessment for pressure injury prevention.
Define mobility in the context of nursing.
The ability to move freely and easily.
What is ambulation?
The act of walking or moving from one place to another.
What does impaired physical mobility refer to?
A limitation in the ability to move.
Fill in the blank: _______ refers to a state of being unable to move.
Immobility
What are Activities of Daily Living (ADLs)?
Basic self-care tasks such as bathing, dressing, and eating.
List some complications of impaired physical mobility.
- Increased physical disability (muscle wastage)
- Increased falls
- Loss of independence
- Pressure injuries
- Increased patient morbidity and mortality
What are postural abnormalities?
Deviations from normal posture that can occur due to immobility.
Identify nursing skills that help prevent complications associated with immobility.
- Positioning patients in bed
- Transferring between bed and chair
- Using a hoist
- Log rolling and using a slide sheet
- Assisting a person to walk with an aide
What are some interventions for preventing complications of immobility?
- Sit up in bed
- Deep breathing and coughing exercises
- Implement compression stockings
- Regular aperients and diet adjustments
- Maintain high hygiene standards
What is the Falls Risk Assessment and Management Plan (FRAMP)?
A tool used to assess and manage fall risks for patients.
True or False: Pressure injuries occur only from prolonged pressure.
False
What are the common sites for pressure injuries?
- Sacrum
- Buttocks
- Coccyx
- Heels
What factors contribute to the occurrence of pressure injuries?
- Prolonged pressure
- Shearing forces
- Friction forces
What does the Braden Scale assess?
The risk of developing pressure injuries.
Fill in the blank: A Braden Scale score of 9 or below indicates _______ risk.
Severe
What are the five stages of pressure injuries?
- Stage 1: Lightly pigmented
- Stage 2: Partial thickness loss
- Stage 3: Full thickness loss
- Stage 4: Full thickness tissue loss
- Unstageable
What nursing interventions are recommended for a patient at high risk for pressure injuries?
- 2-hourly skin inspections
- Re-positioning
- Encourage mobilisation
- Use of alternating pressure mattresses
What is the significance of non-blanchable redness?
Indicates tissue damage and potential pressure injury development.
Identify one management strategy for falls risk in the home.
Individualised risk assessment.
